HCPCS Code Section: HCPCS J Codes

Injection, infliximab, excludes biosimilar, 10 mg Short Description: Infliximab not biosimil 10mg Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, …

Injection, kanamycin sulfate, up to 75 mg Short Description: Kanamycin sulfate 75 mg inj Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: …

Injection, kanamycin sulfate, up to 500 mg Short Description: Kanamycin sulfate 500 mg inj Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: …

Injection, itraconazole, 50 mg Short Description: Itraconazole injection Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2002 Effective Date: January 1, 2002 …

Injection, isavuconazonium, 1 mg Short Description: Injection, isavuconazonium Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2016 Effective Date: January 1, 2016 …

Injection, interferon beta-1b, 0.25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) …

Injection, interferon beta-1a, 30 mcg Short Description: Interferon beta-1a inj Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2011 Effective Date: January …

Insulin for administration through dme (i.e., insulin pump) per 50 units Short Description: Insulin for insulin pump use Coverage Code: Carrier judgment Action Code: No maintenance for this code …

Injection, insulin, per 5 units Short Description: Insulin injection Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, 2003 Effective Date: …

Injection, droperidol and fentanyl citrate, up to 2 ml ampule Short Description: Droperidol/fentanyl inj Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: …